Individual
SHUKLA S. SUCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, ONE FORD PLACE 2A -OCCUPATIONAL, DETROIT, MI 48202
(313) 874-5429
(313) 874-6037
Mailing address
HENRY FORD HEALTH SYSTEM, ONE FORD PLACE 2A -OCCUPATIONAL, DETROIT, MI 48202
(313) 874-5429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301051854
MI
2083X0100X
Occupational Medicine Physician
Primary
4301051854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS051854
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
09/11/2025
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